about nystagmus transformation in a case of apogeotropic lateral semicircular canal benign paroxysmal positional vertigo对眼球震颤转型的背地的侧半规管良性阵发性位置性眩晕.pdfVIP

Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2011, Article ID 687921, 4 pages doi:10.1155/2011/687921 Case Report About Nystagmus Transformation in a Case of Apogeotropic Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo Paolo Vannucchi and Rudi Pecci Department of Surgical Sciences Oto-Neuro-Ophthalmology, Service of Audiology, University of Florence, Viale Morgagni 85 50100 Florence, Italy Correspondence should be addressed to Paolo Vannucchi, paolovannucchi@libero.it Received 21 February 2011; Revised 21 May 2011; Accepted 5 June 2011 Academic Editor: Linda Luxon Copyright © 2011 P. Vannucchi and R. Pecci. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. There are two forms of lateral semicircular canal benign paroxysmal positional vertigo: geotropic and apogeotropic. When the pathophysiological mechanism of the apogeotropic form is that of canalolithiasis, we can observe a transformation from an apogeotropic nystagmus into a geotropic one. Usually, this phenomenon happens simultaneously on both sides, thus enabling us to observe a right-beating paroxysmal positional nystagmus when the patient lies on the right side and a left-beating paroxysmal positional nystagmus on the left side. We describe a case in which the transformation occurred gradually, so that, after three head rotations from side to side in supine position, there was a right nystagmus beating toward the ground (geotropic) with the patient on the right side and a right nystagmus beating away from the ground (apogeotropic) on the left side. However, after further rotat